Lake Forest Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2017018401 Issued in MO

Legal business name

LAKE FOREST PHARMACY

Doing business as

Lakeforest Pharmacy

Practice address

950 Corporate Pkwy Ste 104
Wentzville, MO 63385-4851

Phone

(636) 856-9555

Fax

(866) 548-7855

NPI assigned

Jun 16, 2017

Last updated

Dec 8, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas Wegrzyn

Title

Owner

Phone

(636) 856-9555

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lakeforest Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick R Wehmeier, PHARM.D.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Wentzville, MO
  • NPI 1023531621
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575763200000",
    "number": "1386174894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 CORPORATE PKWY STE 104",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854851",
            "telephone_number": "636-856-9555",
            "fax_number": "866-548-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CORPORATE PKWY STE 104",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854851",
            "telephone_number": "636-856-9555",
            "fax_number": "866-548-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE FOREST PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-16",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A",
        "authorized_official_last_name": "WEGRZYN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-856-9555"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2017018401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169645",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeforest Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald Robert Kuhn, D.C.,DACBR
• Mary Kathleen Kuhn, D.C.
• Shannon Kuhn, D.C.
• Dana Sue Kulick X, COTA
• Matthew Kungis, PT, DPT
• Lake St. Louis Wigs and Cuts
• Derek Lambert
• Jordis Nevaeh Lang
• Janae Nicole Laporte
• James Laws

• Community/Retail Pharmacy in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.